INTERPOL
DISASTER VICTIM IDENTIFICATION
2ND Pacific Rim Group Meeting
July 28-31 , 2003
Denpasar-Bali , Indonesia
Meeting Secretariat : Pusdokkes Polri , Jl Trunojoyo 3 Jakarta Indonesia
Telp: +62-21-7218091 Fax: +62-21-7258869
E-mail: drgpeter@indosat.net.id
putkes@yahoo.com
REGISTRATION FORM FOR PARTICIPATION OF 2nd INTERPOL DISASTER
VICTIM IDENTIFICATION PACIFIC RIM MEETING
July 28-31, GRAND BALI BEACH HOTEL, SANUR - BALI, INDONESIA
Participation :
Dr.
&
Mrs.
First Name
:
Last Name :
Institution :
Address : City :
Country :
Phone : +
Fax : +
E mail : .............@ ............
REGISTRATION FEE
Participants : US
500
Spouse
: US 250
which covers:
· Accomodation in Hotel Grand Bali Beach ( *****) 4 nights 5 days:
o arrive on July 28,
o July 29 meeting (opening),
o July 30 One day tour,
o July 31 meeting,
o August 1 checkout.
· Breakfast, lunch and dinner
· Transportation from and to Bali airport
Payment Methods:
o Cash
o Bank transfer in full amount to :
PT. LIMBUNAN TOURS
AC No 0250007442
BANK CENTRAL ASIA
MAKASSAR BRANCH
Note : Please complete the form and send or fax a
copy to :
PT Limbunan Tours & Travel Service
40-42 Jl . Gunung Bawakaraeng Makassar 90115, Indonesia
Phone : (+62-411 ) 333444,333555,333777
Fax : (+62-411) 314344, 314567
E mail : limbunan@indosat.net.id
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